52 lines
1.5 KiB
Twig
52 lines
1.5 KiB
Twig
{% extends 'base.html.twig' %}
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{% block body %}
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{{ block('nav', 'internal/libs/nav.html.twig') }}
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<main class="main-content position-relative max-height-vh-100 h-100 border-radius-lg ">
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{{ block('topnav', 'internal/libs/top-nav.html.twig') }}
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<section>
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<div class="card card-plain">
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<div class="card-header">
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<h4 class="font-weight-bolder">Case Info</h4>
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<p class="mb-0"></p>
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</div>
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<div class="card-body">
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<div class="container">
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{{ form_errors(form) }}
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{{ form_start(form) }}
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<div class="row">
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<div class='col'>
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<div class='input-group input-group-outline mb-3'>
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<label for='note_form_date'></label>
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<input type='date' name='{{ field_name(form.date) }}' id='note_form_date' class='form-control'/>
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</div>
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<div class='input-group input-group-outline mb-3'>
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{{ form_row(form.servicesProvided) }}
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</div>
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</div>
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<div class='col'>
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<div class='input-group input-group-outline mb-3'>
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<textarea name='{{ field_name(form.note) }}' id='note_form_note' class='form-control' placeholder='Note' style='width:100%;height:250px;'></textarea>
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</div>
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</div>
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</div>
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<div class='row'>
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<div class="text-center">
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<button type="submit" class="btn btn-lg bg-gradient-dark btn-lg w-100 mt-4 mb-0">Save Staff Note</button>
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</div>
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</div>
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{{ form_end(form) }}
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</div>
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</div>
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</div>
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</section>
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</main>
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{% endblock %}
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